Organization
WHITE CLOUD HOME CARE SERVICES
Active
Organization
WHITE CLOUD HOME CARE SERVICES
Active
Other names
White Cloud Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRA KAHLIAH JOHNSON (OWNER)
(260) 254-2002
Entity
Organization
Contact information
Practice address
7823 PRESTON POINTE DR, FORT WAYNE, IN 46804-5705
(260) 254-2002
Mailing address
7823 PRESTON POINTE DR, FORT WAYNE, IN 46804-5705
(260) 205-4408
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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